LONGS DRUG STORES CALIFORNIA LLC
NPI: 1669607784
· KAILUA KONA, HI 96740
· 332B00000X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
16 |
$183.84 |
| 2019 |
36 |
$0.00 |
| 2020 |
117 |
$1K |
| 2021 |
54 |
$914.53 |
| 2022 |
17 |
$183.84 |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 90471 |
|
121 |
120 |
$1K |
| 90686 |
|
71 |
71 |
$993.63 |
| 0064A |
|
12 |
12 |
$393.12 |
| S9430 |
Pharmacy comp/disp serv |
36 |
36 |
$0.00 |